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General NPI Number Information
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NPI Number | 1598452211
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Entity Type | Organization
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Legal Business Name | US MOBILE CHRONIC CARE MANAGEMENT LLC
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Dates
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Enumeration Date | 04/21/2023
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 314 W 14TH ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10014-5002
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Country | US
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Telephone | 347-298-4100
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Fax | 347-227-1368
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Provider Business Mailing Address
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Address Line | 14 WALL ST FL 20
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City | NEW YORK
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State | NY
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Zip | 10005-2123
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Country | US
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Telephone | 347-298-4100
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Fax | 347-227-1368
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Authorized Official
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Title or Position | PRESIDENT
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Name | JONA JANE TAJONERA
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Credential |
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Telephone | 347-298-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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